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A comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation
Skin grafting is an important method of wound repair and reconstruction. Skin grafting can be classified using multiple classification criteria. We often perform full‐thickness skin grafting (FTSG) for small wound areas; however, the traditional FTSG technique frequently causes postoperative scar de...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Ltd
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10031216/ https://www.ncbi.nlm.nih.gov/pubmed/36330586 http://dx.doi.org/10.1111/iwj.13975 |
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author | Liu, Jiaxi Qu, Linghan Song, Baoqiang |
author_facet | Liu, Jiaxi Qu, Linghan Song, Baoqiang |
author_sort | Liu, Jiaxi |
collection | PubMed |
description | Skin grafting is an important method of wound repair and reconstruction. Skin grafting can be classified using multiple classification criteria. We often perform full‐thickness skin grafting (FTSG) for small wound areas; however, the traditional FTSG technique frequently causes postoperative scar depression at the donor site, especially in the abdomen. This study aimed to determine whether preserving the subcutaneous fat when performing FTSG can improve donor site prognosis. We reviewed 25 patients who underwent autologous FTSG in the last 3 years. Among them, subcutaneous fat was preserved in 11 patients (experimental group), whereas it was not preserved in 14 patients (control group). Using a 3D camera and the Patient and Observer Scar Assessment Scale (POSAS), we evaluated the donor site postoperatively. According to POSAS, vascularization was significantly more severe in the experimental group. The Antera 3D camera revealed more severe scar depression at the donor site in the control group. The processing time for graft take, subcutaneous fat trimming and donor site closure was less in the experimental group than in the control group. Preserving subcutaneous fat at the donor site improved patient outcomes by reducing donor site depression after FTSG. |
format | Online Article Text |
id | pubmed-10031216 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Blackwell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-100312162023-03-23 A comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation Liu, Jiaxi Qu, Linghan Song, Baoqiang Int Wound J Original Articles Skin grafting is an important method of wound repair and reconstruction. Skin grafting can be classified using multiple classification criteria. We often perform full‐thickness skin grafting (FTSG) for small wound areas; however, the traditional FTSG technique frequently causes postoperative scar depression at the donor site, especially in the abdomen. This study aimed to determine whether preserving the subcutaneous fat when performing FTSG can improve donor site prognosis. We reviewed 25 patients who underwent autologous FTSG in the last 3 years. Among them, subcutaneous fat was preserved in 11 patients (experimental group), whereas it was not preserved in 14 patients (control group). Using a 3D camera and the Patient and Observer Scar Assessment Scale (POSAS), we evaluated the donor site postoperatively. According to POSAS, vascularization was significantly more severe in the experimental group. The Antera 3D camera revealed more severe scar depression at the donor site in the control group. The processing time for graft take, subcutaneous fat trimming and donor site closure was less in the experimental group than in the control group. Preserving subcutaneous fat at the donor site improved patient outcomes by reducing donor site depression after FTSG. Blackwell Publishing Ltd 2022-11-03 /pmc/articles/PMC10031216/ /pubmed/36330586 http://dx.doi.org/10.1111/iwj.13975 Text en © 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Liu, Jiaxi Qu, Linghan Song, Baoqiang A comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation |
title | A comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation |
title_full | A comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation |
title_fullStr | A comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation |
title_full_unstemmed | A comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation |
title_short | A comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation |
title_sort | comparative study of full‐thickness skin grafting with and without subcutaneous fat preservation |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10031216/ https://www.ncbi.nlm.nih.gov/pubmed/36330586 http://dx.doi.org/10.1111/iwj.13975 |
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